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WHO Guidelines on Hand Hygiene in Health Care - Safe Care ...

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PART I. REVIEW OF SCIENTIFIC DATA RELATED TO HAND HYGIENE<br />

Table I.17.1<br />

<strong>Hand</strong> hygiene <strong>in</strong>dicati<strong>on</strong>s and alcohol prohibiti<strong>on</strong> <strong>in</strong> different religi<strong>on</strong>s<br />

Religi<strong>on</strong><br />

Specific <strong>in</strong>dicati<strong>on</strong>s for hand<br />

hygiene<br />

Type of<br />

cleans<strong>in</strong>g a<br />

Alcohol prohibiti<strong>on</strong><br />

Existence Reas<strong>on</strong> Potentially<br />

affect<strong>in</strong>g use of<br />

alcohol-based<br />

handrub<br />

Buddhism<br />

After each meal<br />

To wash the hands of the deceased<br />

H<br />

S<br />

Yes<br />

It kills liv<strong>in</strong>g<br />

organisms<br />

(bacteria)<br />

Yes, but<br />

surmountable<br />

At New Year, young people pour<br />

water over elders’ hands<br />

S<br />

Christianity<br />

Before the c<strong>on</strong>secrati<strong>on</strong> of bread<br />

and w<strong>in</strong>e<br />

R<br />

No — No<br />

After handl<strong>in</strong>g Holy Oil (Catholics)<br />

H<br />

H<strong>in</strong>duism<br />

Dur<strong>in</strong>g a worship cerem<strong>on</strong>y (puja)<br />

(water)<br />

R<br />

Yes<br />

It causes mental<br />

impairment<br />

No<br />

End of prayer (water)<br />

R<br />

After any unclean act (toilet)<br />

H<br />

Before and after any meal<br />

H<br />

Islam<br />

Repeat<strong>in</strong>g abluti<strong>on</strong>s at least three<br />

times with runn<strong>in</strong>g water before<br />

prayers (5 times a day)<br />

Before and after any meal<br />

R<br />

H<br />

Yes<br />

It causes<br />

disc<strong>on</strong>necti<strong>on</strong> from<br />

a state of spitritual<br />

awareness or<br />

c<strong>on</strong>sciousness<br />

Yes, but<br />

surmountable.<br />

Very advanced and<br />

close scrut<strong>in</strong>y of<br />

the problem<br />

After go<strong>in</strong>g to the toilet<br />

H<br />

After touch<strong>in</strong>g a dog, shoes or a<br />

cadaver<br />

H<br />

After handl<strong>in</strong>g anyth<strong>in</strong>g soiled<br />

H<br />

Judaism<br />

Immediately after wak<strong>in</strong>g <strong>in</strong> the<br />

morn<strong>in</strong>g<br />

H<br />

No — No<br />

Before and after each meal<br />

H<br />

Before pray<strong>in</strong>g<br />

R<br />

Before the beg<strong>in</strong>n<strong>in</strong>g of Shabbat<br />

R<br />

After go<strong>in</strong>g to the toilet<br />

H<br />

Orthodox<br />

Christianity<br />

After putt<strong>in</strong>g <strong>on</strong> liturgical<br />

vestments before beg<strong>in</strong>n<strong>in</strong>g the<br />

cerem<strong>on</strong>y<br />

R<br />

No — No<br />

Before the c<strong>on</strong>secrati<strong>on</strong> of bread<br />

and w<strong>in</strong>e<br />

R<br />

Sikhism<br />

Early <strong>in</strong> the morn<strong>in</strong>g<br />

Before every religious activity<br />

Before cook<strong>in</strong>g and enter<strong>in</strong>g the<br />

community food hall<br />

H<br />

R<br />

H<br />

Yes<br />

Unacceptable<br />

behaviour as<br />

disrespectful of the<br />

faith<br />

C<strong>on</strong>sidered as an<br />

<strong>in</strong>toxicant<br />

Yes, but probably<br />

surmountable<br />

After each meal<br />

H<br />

After tak<strong>in</strong>g off or putt<strong>in</strong>g <strong>on</strong> shoes<br />

H<br />

a<br />

H = hygienic; R = ritual; S = symbolic.<br />

83

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